Payroll Manager

This role is remote within the United States.

Turquoise Health is seeking a Payroll Manager to lead and scale our payroll operations. This role will be responsible for managing all aspects of payroll ensuring accurate, compliant, and timely processing for all employees. Reporting to the Director of Finance, the Payroll Manager will bring a strong end-to-end mindset and a deep understanding of payroll operations, including upstream and downstream impacts across HR, benefits, and finance processes. The ideal candidate has extensive experience managing complex multi-state payrolls, equity and stock-based compensation - ensuring every payroll input, deduction, and tax treatment is processed accurately, seamlessly, and with exceptional attention to detail.

Responsibilities

• Administer full-cycle payroll for all employees, ensuring accuracy, compliance, and adherence to federal, state, and local regulations.
• Oversee timely and accurate bi-monthly payroll processing, ensuring all deadlines are consistently met.
• Review and approve Travel & Entertainment expense reports, ensuring adherence to the Company Travel Policy
• Manage the approval and processing of the Accounts Payable function
• Serve as the payroll subject matter expert, maintaining up-to-date knowledge of tax regulations, and labor laws across all relevant U.S. jurisdictions.
• Serve as the primary point of contact for payroll inquiries from employees and internal stakeholders, ensuring responsive and high-quality support.
  
  

Some of the time:

• Review and validate payroll inputs - including compensation changes, bonuses, commissions, benefits, and leave - and ensure accurate calculations across pay cycles
• Oversee incentive and equity-related payroll processing for RSUs, NSOs, and ISOs, ensuring precise tax calculations, accurate reporting, and timely estimated tax submissions.
• Additional ad-hoc analysis
  
  

Requirements

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• 6+ years of hands-on payroll experience, with demonstrated expertise managing complex, multi-state U.S. payroll operations; CPP or FPC certification is a plus, but not required.
• Proven experience administering payroll; Rippling experience is a strong plus.
• Strong understanding of federal, state, and local payroll regulations, wage and hour laws, and tax compliance requirements.
• Experience managing payroll considerations for employees on work visas, including proper application of visa-related tax exemptions (e.g., FICA exemption eligibility).
• Knowledge of equity and stock-based compensation (e.g., RSUs, NSOs, ISOs) and their associated tax and reporting implications.
• Experience managing payroll inputs such as bonuses, commissions, benefits, leave-of-absence scenarios, and retroactive adjustments.
• Experience supporting and/or managing other expenditures such as Accounts Payable and/or Travel & Entertainment
• Strong analytical skills with a high degree of accuracy, attention to detail, and ability to identify and resolve discrepancies.
• Excellent communication skills, with the ability to explain payroll concepts clearly and support employees and internal partners.
• Ability to operate independently, prioritize effectively, and thrive in a fast-paced, scaling environment.
• Demonstrates sound judgment, confidentiality, and integrity in handling sensitive employee data.
  
  

Benefits

• Competitive pay with equity options
• Stellar health care plan options (Medical, Dental & Vision), with FSA, DCFSA, & HSA options
• Company-sponsored disability & life insurance

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• Unlimited PTO
• 401(k) + 4% Matching
• Fully remote work + flexible working hours
• $750 work-from-home setup budget
• Paid quarterly in-person co-working weeks
• Quarterly $150 co-hanging stipend to meet up with coworkers
• Monthly $100 health and wellness benefit
• Generous paid family leave
  
  

About Turquoise Health

At Turquoise, we're making healthcare pricing simpler, more transparent, and lower cost for everyone. Have you or a family member ever gotten an MRI, a lab, or even a straightforward surgery without knowing the cost in advance? That's bonkers, right? We're working to fix that.

We're a Series B startup backed by top VCs a16z, Box Group, Bessemer Venture Partners, Tiger Global, Adams Street, and Yosemite. Most importantly, we're an accomplished group of folks (moonlighting as authors, bass players, improv instructors, chefs, linguists, and trivia buffs) with a passion for improving healthcare. We're eager to find ambitious and well-rounded teammates to join us on this mission.

We strongly encourage BIPOC, people with disabilities, and LGBTQIA+ folks to apply for any open roles of interest. Building a truly diverse team is a challenge that we do not shy away from. Healthcare affects all people differently, but it significantly affects those in underserved communities. With a robust, diverse team, we are stronger and better equipped to change the future of healthcare for all.

Job Location

Turquoise Health is a fully remote company based in the US. We work with team members and contractors in the US and around the world, but we operate on US business hours and work with clients entirely based in the US. For this role, we are seeking US-based candidates.

Disability Accommodation Email

Turquoise Health is committed to providing reasonable accommodations to applicants and employees with disabilities. Please tell us if you require a reasonable accommodation to apply for a job or to perform your job. Examples of reasonable accommodation include making a change to the application process or work procedures, providing documents in an alternate format, using a sign language interpreter, or using specialized equipment. If you require assistance or an accommodation with the hiring process, please contact recruiting@turquoise.health

Compensation Range: $135K - $150K